Aging

Having fled quickly — often without medications, wheelchairs or pets to comfort them — refugees from the Camp Fire manage as best they can in makeshift shelters miles from home. A virus is spreading, and medical attention is spotty.

Federal officials are hailing the introduction of services such as transportation to medical appointments, home-delivered meals and installation of wheelchair ramps as a way to keep beneficiaries healthy and avoid costly hospitalizations. But not many plans are offering the services in 2019.

Federal officials are proposing that Medicare pay doctors for a 10-minute “check-in” call with beneficiaries. But many doctors already do this for free, and the plan would require a cost-sharing charge of many patients.

Dr. Prudence Hall has made a name for herself in the field of “bioidentical hormones” — plant-based compounds purportedly customized for each patient’s needs. Experts say the popular approach is unproven; California regulators say she was grossly negligent in her care of two patients.

No one tracks sepsis cases closely enough to know how often these severe infections turn fatal. But the toll — both human and financial — is enormous, finds an investigation by KHN and the Chicago Tribune.

The study follows a Kaiser Health News and New York Times investigation that found nearly 1,400 nursing homes have reported fewer registered nurses on duty than Medicare requires or failed to provide reliable staffing information to the government.